MR. JUSTIN DAVID PETRUSAK LMSW
NPI 1316369937
Social Worker - Clinical in Detroit, MI

Active since January 16, 2014
4756 CASS AVE, DETROIT, MI 48201(313) 577-4409 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Justin David Petrusak Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN DAVID PETRUSAK LMSW (NPI 1316369937) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801090356) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1316369937
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JUSTIN DAVID PETRUSAKCredential: LMSW
Location Address4756 CASS AVEDetroit, MI 48201-2357
Mailing Address9428 Mcdougall St Fl 2Hamtramck, MI 48212-3564 · (586) 214-4019
Sole ProprietorNo
Enumeration DateJanuary 16, 2014
Last NPPES UpdateMarch 8, 2016
NPI 1316369937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801090356
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4756 CASS AVE, Detroit, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Petrusak's NPI number?

The NPI number for Justin Petrusak is 1316369937. It was assigned to this individual provider in the NPPES registry on January 16, 2014.

Where is Justin Petrusak located?

Justin Petrusak practices at 4756 Cass Ave, Detroit, MI 48201. The listed phone number is (313) 577-4409.

What is Justin Petrusak's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Justin Petrusak was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.